Provider Demographics
NPI:1033735196
Name:SUTTON, CONNER JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:CONNER
Middle Name:JOHN
Last Name:SUTTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 843966
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-3966
Mailing Address - Country:US
Mailing Address - Phone:573-884-3300
Mailing Address - Fax:573-884-0943
Practice Address - Street 1:516 JACKSON RD
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:MO
Practice Address - Zip Code:65233-2845
Practice Address - Country:US
Practice Address - Phone:660-882-3585
Practice Address - Fax:660-882-3432
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2023021933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine